Abstract

Friday, April 27, 2018

Down the rabbit hole

Recently
I was invited to attend a training session for the Dementia Friendly movement,
which has been gaining momentum in Massachusetts over the past few years. The
event took place high up in the Ashburton building, not far from the State
House and its gilded dome. And because I have trouble going through security on
my own—I always fret about leaving my phone, my keys, or my wallet behind—I was
asked to come earlier to avoid the crush when going through security.

Only when the session got underway did I realize that I
was the featured panelist. My prepared remarks were brief, less than two minutes.
When I speak without notes, I often lose my train of thought. But in this case,
I was at ease. I asked the audience why I wore a tie today. My answer was if I
go too long without wearing one, I might have trouble tying it when I need to
wear one. I enjoyed answering the audience’s questions, and was looking forward
to having lunch afterward with my former editor at the Massachusetts Municipal
Association, the advocacy organization for the state’s cities and towns.

Since my meeting ended well before noon, I stopped at
King’s Chapel, one of Boston’s oldest public buildings. I paid the recommended donation
of three dollars, and I listened to the docent discussing the building’s
history. I still had some time to kill, so I decided to stop to use the
bathroom at the food court at the center of Downtown Crossing, a place where
I’d often had lunch while working at the MMA. Then something queer took place.
I wasn’t sure where I was. I knew I had relieved myself at the food court, but
I couldn’t remember how I’d exited the building. I knew that the restrooms were
on the basement floor, because over the years I had used the facilities on a
regular basis. But I was still confused. One possible factor was that the
downtown skyline had changed in the years since I’d left my job at the MMA in
the summer of 2015. The skyline of 2015 was not quite the same as the skyline
of 2018. A construction boom was underway.

My internal mental map was due for an upgrade. Before
long, I found myself in Chinatown, a neighborhood less than a 10-minute walk from
the MMA. I had been walking in the wrong direction. I used to tell friends from
out of town that Boston’s Chinatown was quite small. But on this day, the
neighborhood struck me as vast and warren-like. And the people I asked who
spoke English had no idea where One Winthrop Square was. And why should they? The
name might suggest a broad plaza, but it’s really just a postage-stamp square,
secluded by taller buildings.

All this time my anxiety was building. I could hear my
dress shoes slapping on the pavement as I speed-walked, understanding that the worst
outcome would be that I would not meet up with my former editor that day. Some
readers may be wondering why I didn’t just call or text him. The first answer was
the glare; I couldn’t see the screen well enough to find the numbers. I recall
a distant period when a cellphone was just a mobile phone. It certainly wasn’t
a “smartphone,” a computer that fits in your pocket.

The second question was more complicated. I was embarrassed
to divulge that I was lost. Plus my stress level was surging. On account of my
compromised short-term memory, I would have quickly forgotten most of what my
former editor had told me. And I felt ridiculous asking strangers how to find
the place where I had worked for almost ten years.

At one point, I passed by Temple Place, where the MMA used
tobe located, when I first started my
job. At first, I regarded this as utterly useless information. But then I
remembered that in 2006, the MMA had created a video showing the route from the
old location at Temple Place, very close to Boston Common, to the new Winthrop
Square office. Somehow, that video had become embedded in my long-term memory, and
provided some hope that I was finally very close to my destination.

I still wasn’t at Winthrop Square. But by this time, I was
starting to calm down. A couple of minutes later I realized that I was not too
far from South Station. I’d taken a highly circular route, but once I located
Summer Street, I knew exactly where I was going and could get to One Winthrop
Square. To my relief, I found John, my former editor, waiting for me. I was 35
minutes late. We were both hungry, and I was much relieved.

Are there lessons from this? If you have dementia, stay
within your limits. Be mindful. Pay attention when you enter a public building.
Note which door you entered. And once you come out of a building, make a point
to get your bearings immediately. That was probably my main mistake. And keep a
mini-notebook and a pen that can fit easily in a purse or a pocket, in case you
need to write something down. If you’re inside, make a point of noting to exit
from the same passage as you entered. And if you have the good fortune, as I
did, to visit Berlin and Prague a couple of years ago, look out for monuments
that look similar to other monuments. Arriving at our Prague hotel, my friend and
I discovered that “our ancient tower” near our hotel and another “ancient
tower” were almost identical. It’s a good way to avoid catastrophe on your
European vacation.